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Retina:
doi: 10.1097/IAE.0000000000000044
Original Study

EXTRAMACULAR DRAINAGE OF SUBRETINAL FLUID DURING VITRECTOMY FOR MACULAR HOLE RETINAL DETACHMENT IN HIGH MYOPIA

Jeon, Hye S. MD*,†; Byon, Ik S. MD†,‡; Park, Sung W. MD*,†; Lee, Ji E. MD, PhD*,†; Oum, Boo S. MD, PhD*,†

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Abstract

Purpose:

To compare surgical outcomes between subretinal fluid drainage through the macular hole (MH) and through sites other than the MH during vitrectomy for MH retinal detachment in highly myopic eyes.

Methods:

Retrospective analysis was performed on the medical records of 41 patients who underwent vitrectomy for MH retinal detachment in highly myopic eyes. Group M included eyes in which subretinal fluid was drained through MH. Group E included eyes in which subretinal fluid was drained through an extramacular break or retinotomy. Pre- and postoperative visual acuity, reattachment rate, and MH closure rate were investigated.

Results:

Primary retinal reattachment was achieved in 13 of 21 eyes (62%) in Group M and in 19 of 20 eyes (95%) in Group E (P = 0.020). The MH was closed more frequently in Group E (15 eyes) than in Group M (7 eyes; P = 0.012). Ambulatory vision of 20/400 or better was achieved in 16 eyes in Group E and in 10 eyes in Group M (P = 0.033).

Conclusion:

Extramacular drainage of subretinal fluid resulted in better outcomes than the conventional procedure of drainage through the MH.

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